JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Habiba Islam |
| Age / Gender: | 63 Yrs / Female |
| Mobile: | 01715019310 |
| Address: | bottola bazar |
| Invoice No: | LAB-26-1113 |
| Billing Date: | 12-10-2026 06:11 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Self
Ref. Patient:
sa
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | Urine for R/M/E | 300.00 |
| 2 | S.Creatinine | 500.00 |
| 3 | Collection Set | 25.00 |
| 4 | Edta Tube | 30.00 |
| Subtotal: | 855.00 BDT |
| Discount: | - 355.00 BDT |
| Grand Total: | 855.00 BDT |
| Money Received (Paid): | 500.00 BDT |
Patient / Guardian Signature
Authorized Signature